Provider Enrollment Specialist

U.S. Physical Therapy, Inc.; Houston (TX); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Comprehensive benefits

Generous PTO

Mentoring and career growth

Team-oriented environment

Job summary

USPh (U.S. Physical Therapy) is seeking a Provider Enrollment Specialist to join our Managed Care Operations team. The role focuses on accurate data entry for enrollment and billing within a remote, central-hours environment.

The ideal candidate will have 3–5 years of credentialing experience, strong CAQH knowledge, and excellent organizational and communication skills. We offer a supportive team and growth opportunities.

Qualifications

• 3–5 years of payor credentialing experience for providers.
• Knowledge of health plans and credentialing all payor types (Managed Care, Medicare, Medicaid, Workers' Comp).
• Experience using and maintaining credentialing databases.
• Strong CAQH knowledge, including CAQH Practice Administrator role.
• Established relationships with credentialing reps at health plans.
• Prepare and process credentialing applications for all payor types.
• Credentialing for multi-Tax ID entities.
• Handle high-volume credentialing and recredentialing.
• Meet turnaround times and performance metrics.
• Customer service oriented with strong communication.
• Detail oriented with ability to manage projects to deadlines.
• Excellent interpersonal skills.

Responsibilities

• Enter demographic and financial data for each account accurately.
• Research complex problems and implement solutions to prevent recurrence.
• Manage multiple work queues and related duties.
• Ensure timely and accurate enrollment/billing processing for members.
• Maintain professional behavior, dependability, and clear communication.

Skills

Credentialing experience

Customer service

Organizational skills

Communication skills

Tools

CAQH database

Credentialing databases

MS Word

Excel

Access

Job description

Company Description

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with close to 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today’s healthcare landscape.

Company Description

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with close to 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today’s healthcare landscape.

By aligning with the USPh network, our partners benefit from operational support and a shared commitment to evidence-based care, all while maintaining their autonomy and local identity.

We believe that the strength of our partnerships lies in the individuality of each partner. Our "OnePartner" model is designed to allow clinics to maintain their unique culture and identity, empowering them to foster meaningful relationships within their communities. By preserving their local roots, clinics can continue to build trust with patients and referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment.

Job Description

We are seeking a credentialing candidate that is a highly motivated, autonomous individual who has a positive attitude to join our company as a Provider Enrollment Specialist on the Managed Care Operations team.

The enrollment specialist ensures that all data entry is accurate, including demographic and financial information for each account. Responsible for researching complex problems using available resources and implementing solutions to mitigate any future issues. This job will be responsible for working various work queues and other duties as assigned. The responsibilities will be aligned with the timely and accurate entry of all phases of enrollment/billing process for exceptional level of service to our members. This job requires professional behavior, dependability and good communication skills.

Qualifications

Qualified candidates must possess:

• Minimum of 3-5 years’ experience submitting payor credentialing applications for providers
• Health plan knowledge and familiarity required credentialing all payor types: Managed Care, Medicare & Medicaid Replacements & Workers Compensation
• Experience utilizing & maintaining credentialing database
• Highly knowledgeable & proficient with CAQH database. Familiarity with CAQH Practice Administrator role.
• Have established relationships with credentialing reps at various health plans
• Prepare and process credentialing applications for all payor types
• Experience credentialing multi-Tax ID entities
• Comfortable processing high volume credentialing applications & recredentialing applications
• Meet and adhere to company’s turnaround time and comply with credentialing goals and performance metrics
• Customer service oriented & easily able to develop relationships.
• Will have a detail-oriented and motivated work ethic, as well as capable of managing projects in a timely manner to meet set deadlines
• Possess excellent organizational, interpersonal, and communication skills

Additional Information

MS Word, Excel & Access skills required

Work Environment

• The role follows a remote work schedule central hours.
• Must be able to work in a fast-paced environment and manage multiple tasks with minimal supervision.

What You'll Get

• Comprehensive great inexpensive benefits.
• Generous paid time off with holidays.
• Continuous mentoring to further your career path.
• Great close-knit team environment. We work hard, but we have fun!